Topics in Palliative Care Volume 3

by Portenoy, Russell K.; Bruera, Eduardo

• ISBN13: 9780195102468
• ISBN10: 0195102460
• Format: Hardcover
• Copyright: 1998-11-19
• Publisher: Oxford University Press

Summary

Palliative care is a rapidly evolving field focused on the management of problems that undermine the quality of life of patients with progressive incurable medical disorders. It is fundamentally concerned with all factors- physical, psychological, social, and spiritual- that contribute tosuffering, and prevent a death with comfort and dignity. Palliative care is a fundamental aspect to good clinical practice, the "parallel universe" to therapies directed at cure or prolongation of life. All clinicians who treat patients with chronic life-threatening diseases are engaged in providingpalliative care, continually attempting to manage complex symptomatology and functional disturbances. The scholarly foundation of palliative care is advancing, and resources are needed to highlight the findings of empirical research. TOPICS IN PALLIATIVE CARE has been designed to meet the need for enhanced communication in this field. To highlight the diversity of concerns in palliative care, eachvolume of the TOPICS IN PALLIATIVE CARE Series is divided into sections that address a range of salient issues: symptom control, psychosocial functioning, spiritual or existential concerns, and ethics. The authors present and evaluate existing data, provide a context drawn from both the clinical andresearch settings, and integrate knowledge in a manner that is both practical and readable. The specific topics in this volume are: Pediatric Palliative Care, Management of Bone Pain, Psychopathology in Patients with Cancer, and Skin Disorders and their Management.

Table of Contents

Contributors	xi
I Pediatric Palliative Care	3	(70)
Introduction: Pediatric Palliative Care: A Field in Evolution	3	(4)
Steven J. Weisman
1. Pharmacologic Management of Pediatric Cancer Pain	7	(22)
John J. Collins
2. Families in Pediatric Palliative Care	29	(22)
Betty Davies
Rose Steele
3. Treatment of Symptoms Other Than Pain in Pediatric Palliative Care	51	(22)
Marcia Levetown
II Management of Bone Pain	73	(92)
Introduction: Bone Pain: Defining the Need for New Approaches	73	(6)
Russell K. Portenoy
4. Management of Bone Pain	79	(38)
Jose Pereira
5. Role of Bisphosphonates and Other Bone Resorption Inhibitors in Metastatic Bone Pain	117	(22)
D. Scott Ernst
6. Surgical Palliation of Malignant Bone Pain	139	(26)
Frank J. Frassica
Deborah Anne Frassica
Steven A. Lietman
Cameron A. Huckell
John P. Kostuik
Edmund Y.S. Chao
Franklin H. Sim
III Psychopathology in Patients with Cancer	165	(66)
Introduction: Psychaitric Disorders in Patients with Progressive Medical Disease: The Importance of Diagnosis	165	(10)
William Breitbart
7. An Introduction to Psycho-oncology with Special Emphasis on Its Development in the Historical and Cultural Context	175	(16)
Friedrich Stiefel
Patrice Guex
Olivier Real Del Sarte
8. From Sadness to Major Depression: Assessment and Management in Patients with Cancer	191	(22)
Maryfrances R. Porter
Dominique L. Musselman
J. Stephen McDaniel
Charles B. Nemeroff
9. Symptom Control in Patients with Severe Character Pathology	213	(18)
Steven D. Passik
Jennifer L. Hay
IV Skin Disorders and Their Management	231	(54)
Introduction: Medical and Psychosocial Implications of Skin Disorders	231	(2)
Eduardo Bruera
10. Palliative Care and the Clinical Approach to Disorders of the Skin	233	(20)
Lloyd R. Hale
Terence J. Ryan
11. The Pathophysiology and Management of Pressure Ulcers	253	(18)
Paul Walker
12. Lymphedema: Current Treatments and Controversies	271	(14)
Richard S. Tunkel
Phyllis Rampulla
Index	285